AYLE 2014 Application Form

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__________________________________________________________________________

_
Application for
ASEANpreneurs Youth Leaders Exchange (AYLE) 2014
anuar! 2014
"lease co#plete the application for#$ add in !our %&'resu#e at the end and sa(e
the docu#ent as (!ourna#e)_(countr!)_app)doc$ and su*#it the for# to
aseanpreneurs+nes)org)sg
Applications deadline December 11, 2013
___________________________________________________________________
________
1.1PERSONAL PART!"LARS
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1.2!ONTA!T N#OR$ATON
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1.%LAN&"A&E PRO#!EN!'
.ndicate !our :riting a*ilit!2 No$ 4asic$ -luent$ or Nati(e)
.ndicate !our spea;ing a*ilit!2 No$ 4asic$ %on(ersational$ or Nati(e)
LAN63A6E </.0.N6 S"EA=.N6
Example: English Native Native
Example: Chinese Basic Conversational
1.(E)TRA!"RR!"LAR A!*E+E$ENTS
List do:n all !our extracurricular participations and achie(e#ents in 3ni(ersit! and ,igh
school$ :ith latest on the top)
E80/A%3//.%3LA/ A%0.&.0Y "7S.07N ,EL5 YEA/
Example: Working with
universitys Entrepreneurship
Society.
Gloal !ro"ect #ea$ %&'%
1., -*AT ARE 'O"R ENTREPRENE"RAL E)PEREN!E
Exa#ple includes starting !our o:n *usiness$ participated and :in a *usiness proposal co#petition
1.. *A+E 'O" PART!PATED N AN' O+ERSEAS E)!*AN&E PRO&RA$
/E#ORE0
List do:n all the progra#s that !ou too; part in :ith !ear of participation)
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Example: ()#E %&'%
1., PERSONAL STATE$ENT
<rite a*out !ourself in no #ore than >00 :ords$ that can help us understand !ou *etter
1.1&ENERAL
"LEASE 5ES%/.4E ANY S"E%.AL 5.E0A/Y /E?3./E1EN0S .- NEE5E5)
"LEASE 5ES%/.4E ANY 5/36 ALLE/6.ES AN5'7/ 1E5.%AL NEE5S)
"LEASE S0A0E Y73/ 4L775 0Y"E)
1.2 S"R+E'
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"lease chec; all that appl!
- ASEAN"/ENE3/S <E4S.0E
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-RTE DO-N T*E NA$E O# T*E ASEANPRENE"RS3 !O"NTR'
A$/ASSADOR 4S5 -*O APPROA!*ED 'O" #OR PRO$OTN& A'LE 201%
.f !ou ha(e not *een approached *! an! %ountr! A#*assador in !our countr! then :rite2
N'A
NA$E O# T*E !O"NTR' A$/ASSADOR4S56
2.0NDE$NT' #OR$
.$ ______________________________$ N/.% ' "assport No)
____________________$ here*! declare that . a# participating in the
ASEANpreneurs Youth Leaders Exchange 2014 of #! o:n free :ill and (olition$
ha(ing understood the ris;s in(ol(ed in the a*o(e #entioned acti(it!) . shall not hold
the organiBers of the a*o(e #entioned acti(it!$ na#el! the National "ni7ersit8 o9
Sin:apore$ N"S Entreprene;rs<ip Societ8 and ASEANprene;rs responsi*le in
an! :a! for #! death$ inCur! or disa*ilit! or an! loss or da#age :hatsoe(er arising
fro# an! cause in connection :ith the acti(it! or #! participation therein)
S.6NA03/E2 5A0E2
2.0 PARENTAL !ONSENT #OR PART!PANT /ELO- 21 'EARS OLD
.$ _________________________________$ N/.% ' "assport No)
_____________________$ here*! allo: #! child':ard9
_________________________________$ N/.% ' "assport No)
_____________________ to participate in the a*o(e acti(it!$ ha(ing understood the
ris;s in(ol(ed in the a*o(e #entioned acti(it!) . understand and agree that . :ill ha(e
no clai# :hatsoe(er and ho:soe(er against the organiBers$ the National
"ni7ersit8 o9 Sin:apore$ N"S Entreprene;rs<ip Societ8 and ASEANprene;rs
for an! inCur! or loss of an! ;ind including loss of life that #! 9child':ard #a! sustain
during the :hole period of the a*o(e #entioned acti(it!)

S.6NA03/E2 5A0E2
2.1 NE)T O# =N !ONTA!T N#OR$ATON 4N !ASE O# E$ER&EN!'5
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S3/NA1E2 /ES.5EN0.AL
N792
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N792
S.6NA03/E2 5A0E2
* include country code

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